Shannon Marie Corcuera, MSN, APRN, ACNPC-AG
Nurse Practitioner, Acute Care in Cheyenne, WY. Individual provider (NPI-1).
NPI number1952016206
StatusActive
Last updated in NPPESSep 28, 2023
Details
- NPI
- 1952016206
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Shannon Marie Corcuera
- Credential
- MSN, APRN, ACNPC-AG
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 20, 2023
- Certification date
- Sep 28, 2023
- Last updated
- Sep 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | 32571 | TN | Yes |
Practice location
2360 E Pershing BlvdCheyenne, WY 82001-5356
Phone 307-778-7550
Mailing address
1310 24th Ave SNashville, TN 37212-2637
Phone 615-327-4751
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